Provider Demographics
NPI:1588841993
Name:DRS KING AND BURKHARDT, P.C.
Entity Type:Organization
Organization Name:DRS KING AND BURKHARDT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-222-3232
Mailing Address - Street 1:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-1222
Mailing Address - Country:US
Mailing Address - Phone:334-222-3232
Mailing Address - Fax:334-222-1788
Practice Address - Street 1:116 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-3805
Practice Address - Country:US
Practice Address - Phone:334-222-3232
Practice Address - Fax:334-222-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty